A Case of Spontaneous Esophageal Rupture Which Can Cure using the Covered Stent

Hidenori Akaike, Syunji Mutou, Yoshiaki Miyasaka, Masao Hada and Itsuki Ashizawa

Department of Surgery, Yamanashi Prefecture Central Hospital

We reported a case of spontaneous esophageal rupture treated using a covered stent. A 45-year-old man experienced vomiting and hematemesis after drinking, followed by sudden left poststernal back pain on February 6, 2000. He was admitted to an emergency hospital. The next day, he reported dyspnea, diagnosed by scanning as spontaneous esophageal rupture, and he was transferred our hospital. We chose conservative therapy because percutaneous drainage was expected to be sufficient. We waited until his general condition improved, then inserted a covered stent on day 3 after admission. His general condition improved dramatically, diet was started on day 17 after admission, and he was discharged on day 76 after admission.

Key words
spontaneous esophageal rupture, stent, conservative therapy

Reprint requests
Hidenori Akaike First Department of Surgery, Yamanashi Medical University 1110 Shimokatou, Tamahocho, Nakakomagun, Yamanashi, 409-3898 JAPAN

Accepted
September 19, 2001

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